Author: negeeny
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Unheard voices, unmapped terrain: care work in long-term residential care for older people in Canada and Sweden
This article aims to contribute to comparative welfare state research by analysing the everyday work life of long-term care facility workers in Canada and Sweden. The study’s empirical base was a survey of fixed and open-ended questions; this article presents results from a subset of respondents (Care Aides and Assistant Nurses) working in facilities in…
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Liminality in Ontario’s long-term care facilities: Private companions’ care work in the space ‘betwixt and between’
Nursing, personal care, food and cleaning are publicly funded in Ontario’s long-term care facilities, but under-staffing usually renders all but the most basic of personal preferences superfluous. This individualization of responsibility for more personalized care has resulted in more families providing more care and opting to hire private, private companion care. With direct payment of…
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Dancing the Two-Step in Ontario’s Long-term Care Sector: More Deterrence-oriented Regulation = Ownership and Management Consolidation
This paper explores shifts in public and private delivery over time through an analysis of Ontario’s approach to LTC funding and regulation in relation to other jurisdictions in Canada and abroad. The case of Ontario’s long-term care (LTC) policy evolution – from the 1940s until early 2013 — shows how moving from compliance to deterrence…
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Prescriptive or Interpretive Regulation at the Frontlines of Care Work in the “Three Worlds” of Canada, Germany and Norway
This paper examines the tension between macro level regulation and the rule breaking and rule following that happens at the workplace level. Using a comparative study of Canada, Norway, and Germany, the paper documents how long-term residential care work is regulated and organized differently depending on country, regional, and organizational contexts. We ask where each…
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Counter-narratives of active aging: Disability, trauma, and joy in the age-friendly city
Dominant narratives about late life promote active aging, while anti-aging ones mobilize tropes of decline and irrelevance. In contrast, counter-narratives raise questions that spark new conversations about the promising practices that could foster more age-friendly cities. In this article, we describe our feminist and ethnographic approach to interviews and digital storytelling that aim to amplify the voices…
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‘Mind the gap’: tensions, transitions and tactics in Canadian and Norwegian community services for older adults
This article compares community services provided to older adults living in Bergen, Norway, and Toronto, Canada. We investigate the gaps that are left unattended in the respective jurisdictions and consequently maintained by the organizations. Our findings reveal the importance of community organizations in positively influencing the initial transition from independence to needing more supports. Our…
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Turnover Contemplation in Long-Term Care: Examining Personal and Structural Variables in Canada
Objective: There are high rates of turnover documented among frontline care work staff in long-term residential care (LTC). Turnover has been associated with negative organizational outcomes. This study examined turnover contemplation among LTC workers in several Canadian provinces. Design: A questionnaire including closed- and open-ended questions was sent out to Canadian LTC workers. Workers received…
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Code Work: RAI-MDS, Measurement, Quality, and Work Organization in Long-Term Care Facilities in Ontario
In Health Matters, contributors from a range of disciplinary and interdisciplinary traditions address multiple dimensions of health care, such as nursing, midwifery, home care, pharmaceuticals, medical education, and palliative care. Through their explorations, the book poses questions about the role that the forms of expertise associated with evidence-based health care play in shaping how we understand…
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The Routledge Handbook of the Political Economy of Health and Healthcare
This handbook provides a comprehensive and critical overview of the gamut of contemporary issues around health and healthcare from a political economy perspective. Its contributions present a unique challenge to prevailing economic accounts of health and healthcare, which narrowly focus on individual behaviour and market processes. Instead, the capacity of the human body to reach…
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The longevity divide in a globalised climate – a forward conclusion
Critical studies of aging need to consider how globalisation accelerates crises like climate change with impacts for the conditions of ageing. This chapter argues that research on ageing tends to consider policy change at the local or nation-state level. Yet, within and across jurisdictions, there is an increasing ‘longevity divide’, affected by economic globalisation, climate…